Page 45 - WJOLS - Surgery Journal

Pramod T Shinde
repairs (one in TEP and the other in TAPP) did show promising in terms of postoperative pain, seromas, and trocar-related
results in terms of recurrence, 40,51 justification for routine trauma. However the use of fibrin glue needs extensive study,
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nonstapling of the mesh in TEP is not yet substantiated. The as the anatomical dissection and inguinal region preparation
low rate of chronic pain complications was similarly observed have to be carefully performed, and the mesh size has to be
in many studies by avoiding stapling.This confirms that mesh adequate; peritoneum closure with a running suture is more
stapling does play a key role in generating postoperative pain time consuming. Large randomized trials and longer follow-up
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after laparoscopic hernia repair. The compared studies had a are required to demonstrate the advantages of either technique.
relatively short follow-up with a small number of patients and
different evaluation periods, the procedures compared were REFERENCES
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